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HomeMy WebLinkAbout025-160-097TRAVEL TRAILER, 10/28/97 _ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 CountyCenter Drive - Oroville, California 95965 - Telephone (916) 538-7541 17 PFMIT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 095-160-097 ZONING BUILDING PERMIT OWNER ALEX JTMENEZ TELEPHONE 743-1130 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS C,Qam R'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9 PARCELS NORTH OF 1514 LONETREE RD Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ OtherWater SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR LEss 23.00 23-00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of, perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do. the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. ADDNS. ( & ACC. BLAS. SO 3.5Q FT. N -WOR NON -R SND• ANCI C,CUT @7.50 POWER APPARATUS 8 SINGLE. rn CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ I.00 BAL O .SO XPPUNS Ex. Occup. OUTELETS RES 0" EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0093 00 PRE QN PERMIT FEE $ qo on WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th a provisions. f �% ��] X __ Date O 7 _ Sig a ure Ap ant - wner ❑ 159" tractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FES IMP FLOOD 17777 HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 231052 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 .",V UNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center'Drive - Oroville,' California 95965 - Telephone (916) 538-7541 P MIT o. (Rev. 12/96) APPLICATION AND PERMIT 'ASSESSORPARCELNUMBER: 0?5-360-097X� ZONING BUILDING PERMIT OWNER ATFN T 7. TELEPHONE 743-1130 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS AT.PTNF.T, . MAIR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9 PARCELS NORTH OF G IDNEXREE RD. Energy Plan Checking Fee $ $ PERMIT FEE S _ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑, Duplex ❑ Mobilehome ❑ Other .1?. CF I sPE 4 'T+' �� ' Each Trap7.00 Solar or heat pum water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Irl New:'❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home. IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AoRLESS 23.00 91 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGL License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: a I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. SO 3.5Q�: _L NON-RESIDT BRANCNE ONI CICU @7.50 8 E OUTLET OWER APPARATUCIR.S OUTLET OR FocruREs Ex. Occup.SAL 20 @ 1.00 @ .50 PPLNS Ex. Occup. ou7LEEDTs RES D.OEa 5.00 Temporary Service 23.00 Mobile Home' Facilities 20.00 Misc. Wiring 23.00 1. T -23.00 21 1210 _ PERMIT FEE - i q f1 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. f 10-9-7c X i ,Q_- __ Date _/'" L Sig a ure 6?A p cant - ❑Owner ❑tractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee s Energy Inspection Fee $ occ CONST. TYPE , TOTAL FEE $ 89.00 FEES IMP I FLOOD COF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and%or indicated above for which -fees have By PERMIT EXPIRES ON ' the applicable provisions Resolutions to do work been paid. Date Dale Receipt No. 131052 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �a �.--v...s.�,Q�.�•r-9..--".r•..�i=-. -�i'w.-.o-q�.'R�F i�' `..� � p.r` !�. •--.'T �lq,•,�-rZO�.,-`i►, •�'y�-l.�o ...�F-ui-l.�a"q,.s--+w-.yo ..yr.,-. ..r.....- 4D.. •COUNTY OF BUTTE- DEPARTMENT OF DEVELOPM ENT S ERVICES - BUILDING DIVISION .. ,r 7 County Center"Drive - Oroville, California 95965 - Telephone (916) 538-7541 n r7 PE�MIT to. (Rev. 12/96) r 4 r APPLICATION AND PERMIT �"'( , ^ASSESSOR PARCEL NUMBER ` n25-160=007 ZONING BUILDING PERMIT OWNER «1 AT V_Y JTMF9V7. TELEPHONE 743-1130 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6117116 PTP WAY, M RY_ T ..P g5�� C, 1t fR'S NAME TELEPHONE C�`$2, OJJji++N�Tr RACTOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 9. PARrPIR NORTH F 1914 T.ONETRER RT). Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. • SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USE OF STRUCTURE SF O Duplex ❑ Mobilehome ❑ Other ELE SER 4 Rp saECIFvK 1 t 1 hA �• '1 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New- ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 500V OR UE9 Main Service 200A OR LESS 23.00 Z {)() LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: RTem I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR OR AODNS. ( & ACC. BUDS. so 3.50FT, N 0059 NON -RES DT .ANcI' CIRCLUI @7.50 APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FUTURES 20 Q 1.00 BAL @ .so Ex. Occup. OEESSID.OE UTS RA. 5.00 orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 AA 4P — PERMIT FEE $ Rn nn MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation w of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �J////n / % / j(1 ' 7 � A r �� Date Signature of Ap00 ant- ❑/finer ❑tractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte CountyCode and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date _ Date ReceiptNo. C31 U,14 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 025-160-097 PERMIT#97-2311 JIMENEZ, Alex Lone Tree Rd., Oroville Ele Ser for Lot Development rte...-., �.-�---.r.,v.rv+-nw'R-�'-'T'f.++rrswvw-=r•.+`rww�s,-.-+r.^.^l,•-n+'4"r',v�7'v,C''"...'�,R„wF°`�7-'7'�rr'... ....z:., .. .. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ^PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TIMPM TELEPHONE 743-'11TJ q� SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS J'� r / W,f,k p'[QR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2 PARGMS NOM OF 1514 10NME-E, 0. Energy Plan Checking Fee $ ORMUE PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other np. sm, j�,,1,( ,,,, SPECIFY 1,W r �'► ='� Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( A OR LESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS In full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason.001 Main Service ( TO 46.00so CCUOOOA NEW coNsr. owEUING occuP. DWE200ALLING OR ADDNS. ( 6 ACC. BLDS. so 3.50FT. =.r.g S R ULT'-OCUTCLET 97,50 APPARATUS d SINGLE OUTLET C'R. Ex. Occup. OUTLET OR FIXTURES BAL .50 Ex. Occup. ouTELErs AEs'o.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23,M PRE.—INSPE MON 3 .00 PERMIT FEE $ 89 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ,IQ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J X i' r Y v%. :�w, l r Date _` L _ r _ Signature of'Appllcant - ❑Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �-� 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES , NO 13 2. I HAVEA HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:. NAMEo ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: _�- -- —This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health -and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Kam I OWNER BUILDER INFORMATION ' 1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself irom'possible liability if that person applies for the proper permit in his or her name. . Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer,. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, .federal social security taxes,:' workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their. own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrae!prs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +irely, Vi iia, C.B.O.uilding Inspection NOTE. This Owner-Builder.Information is required by Seddon 19830 of the California Health and Safety Code- OVER ode OVER COIJNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 q)';5E "IT NO. (Rev. 12/96) APPLICATION AND PERMIT pC' �T ASSESSOR PARCEL NUMBER 1 ��� ZONING BUILDING PERMIT OWNER J ' - ` — � 11VJ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MANn ADDRESS - -(o L O CONTRACTOR'S NAME TtLeHONE 30 CONTRACTORS NG DESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINE 5 MAI ADDRESS r S Plan Checking Fee $ BUILDING ADDRESS • ���� Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDNIS IONS NAME IPARCEL MAP PLUMBING PERMIT Filing Fee 20.00 v7 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe W rk: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filin Fee 20.00 Main Service x�o. oa,�ss 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 i NEW CONST. owEUING OCCUP. OR ADDNS. ( 8 ACC. BLAS. Si y. 3.50Fr. pES1� MULTMOUTLET RQUITS @7.50 POWER APPARATU 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES 200 100 akL @ :50 APPI Ex. Occup. OFUTTLEEDTS R61D°Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wir' 23.00 < pE IT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 dertify that In the performance of-tK -work for -which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ ACC CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP I FLOOD CDf PARC HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dale Receipt No.32 WHITE-O.D.S.- .D. CANA-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 ALEX JIMENEZ 6106 ALPINE WAY MARYSVILLE, CA '.95903.. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A.F025-160-097__ ._.._...PERMIT#97-2311.......' 0 JIMENEZ, Alex Lone Tree Rd: , "Oroville "—" CI`El'e : Ser_for..Lot_Development,,., I PERMITTEE MUST CALL FOR INSPECTIONS Footings Piers Underground Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Framing Do Not.Install Floor'or.Slab Until Above Signed Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan nsuiation 9 Do Not Continue iFireplacii Until Above Signed Stucco Lath Scratch and Brown <. Do'Not Cover Until Above. Signed Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses:Information 24=Hr Ins Oroville 7 County Center Dr. 538-7541 538-7636 Chico 891-2751 1 891-2834 Revised 7/94 I -------------- 025-0 PERMIT#97-2311 MJIENEZ, ` y Alex ` ,Lone Tree Rd., Oroville Ele Ser for Lot Development I ` i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION FOR YOUR CONVENIENCE USE THIS CARD WHEN CALLING FOR INSPECTION 24 HOUR INSPECTION REQUEST SERVICE PHONE NUMBERS: Oroville Office: 538-7636 Chico Office: 891-2834 (Lines will be out of service 7:30 A.M. to 8:00 A.M.) Please write down your information prior to calling this number. Speak slowly and clearly. Sequence of information required to make inspection request: Building Permit # Owner's Name Job Location Type of Inspection Wanted Date Inspection Wanted PLEASE USE THIS SERVICE FOR ALL INSPECTION REQUESTS For other business contact: Oroville Office - 538-7541 (Mon-Thurs, 8:00 - 4:00) Chico Office - 891-2751 (Mon-Thurs, 8:00-12:00 & 1:00-4:00) BUTTE COUNTY NAME ADDRESS PLEASE POST THIS IDENTIFICATION CARD IN A CONSPICUOUS PLACE AND VISIBLE FROM THE ROAD 12/2/90 A.P.N. LAND DEVELOPMENT BUILDING / ENVIRONMENTALHEALTH'- PERMIT CLEARANCE Building Permit No. OWNERS — A.P. ^^ NAME: \ J f /iq e ep -e A-ez NUMBER: C,CYS __ 1 L-00 - L, CL7 vRINT LAST NAME RIOT COUNTY ZONING ^ I� DESIGNATION: A FLOOD ZONE: X FLOOD MAP: D g APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP 44.Z4 A G DEED INFORMATION: IC I S T G I, I0LACd DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING �I S S LOT BOOK I O 3 PAGE 8 5 COMPLIANCE WITH OLD SUBDIV ION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone.C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of roads _ 2. Maintain a ft.building setback from right-of-way/centerline of 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from _ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. _ 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. —9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. — 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-35577010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Pile d09 Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. _X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing -activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site: significance and suggest appropriate mitigation measures. X21. S I 3 M 8 C, f:12e C C)ct4cTt oIJS OEfNI;--- NT -S 22. 23.= 24. 25. 26. A13uns �0 A31Nnoo 166E Z � �dW %goo LD 7/96 CAWP51 TORMS.K\BLDGPERM.CLR } lind r a d Lu sa S; ynt, �eZ OWNER: LOCATII CONTRACTOR ' DATE: / �/ '—' � < `c?' 7 r ZONING: 1 PRE -INSPECTION FOR / h ,`C, y DATE TO INSPECMRY PERMIT HISTORY: C},6�E [ JAS FOLLOWS: TYPE OF OCCUPANCY: BUILDING INSFECTOW S REPORT ag Description: [ ] Commercial/Usage: [ ] Residential/4 of Units: Mobile Home: Yes(. ] No[ ] [ ] Currently Occupied. [_ ] Abandoned/Vacant. ic: [ ] Yes [ No Electric is currently : [ ] On [ ] Off Condition of electrical? Natural Propane(' ] None[ Currently On[ ] O$[ ] [ ] P Obvious problems: tion: �... Plumbingworking . Yes[ ] No[ ]. Well: Yes[ No[ J Potable water: Yes[ No Obvious Sewage Problems: n Recommended: [ ]Issue , 61 for: Date: 10 10--111 —1 10/27/97 MEMO FOR RECORD: A.P. #025-160-097 I will be using the electric service on this property only for future lot development. I will not live on the property until I obtain building permits. The existing travel trailers on the property will be dead stored (not connected to utilities or occupied), parked only. Alex Jimenez 4 0 y f 4 0 . h.. .. ffutte countu r Dear Property Owner: LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (I -Jill) GALL- F, Dheclut 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY Deputy Director RB: Private Road Name We are in the process of naming all unnamed private roads in the County with three or more residences thereon to insure proper mail delivery and to help emergency agencies (fire, ambulances, sheriff) locate your residence. We have received a proposed road name for the private road which serves as access to your property from one of the property owners along your road (see attached petition). Please advise if this road name is satisfactory to you. If we do not hear from you within 14 days from the date of this letter, we will assume the name is satisfactory and will assign the name to the road. If you have any questions, please contact this office at your convenience, Phone No. 916/538-7339, or 7 County Center Drive, Oroville, CA 95965. Very truly yours, William Cheff Director of Public Works Doug Anold Street Address Coordinator DA: as At t. LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Bui/ding Permit No._ OWNERS A.P. NAME: L��—��-�/�� NUMBER: PRINT LAST NAME FIRST ADDRESS / LOCATION: COUNTY ZONING i<v 'I'Q DESIGNATION: /�/ 5 FLOOD ZONE: /� FLOOD MAP: 456) / G APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP 2q Ac DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING �� Sof LOT —3 BOOK 3 PAGE 66 COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES '� NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from _ 6. Pay water tender fees in the amount of $_ to Battalion Number 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. 9. Connect to a public sewer system. of the Butte County Fire Department. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement..Payinent to be made to the Planning Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code'for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic.Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. �r _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate -mitigation measures. V 21. S 103 M S(0 royz Lo CA -no,\/ Qf= EltiENT S r 22 23 24 25 26. 'Ala 1N3Wd013A3a aw 3108 30 A1Nf100 1661 0 1 i n r LD 5,87